Palliative Care in Undergraduate Medical Education—How Far Have We Come?

Fitzpatrick, Danielle; Heah, Rebecca; Patten, Scott B.; Ward, Helena

doi:10.1177/1049909116659737

Cited by 74 publications

(48 citation statements)

References 113 publications

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“…Another point of attention is the content of PC education programs. Findings from an international review show that concepts of pain management are being well addressed, but current undergraduate curricula may not adequately explore issues of broader symptom control, and psychosocial and spiritual aspects of care ( 28 ). The need and wish for these educational initiatives is also mentioned by Chang et al ( 29 ).…”

Section: Discussionmentioning

confidence: 99%

Early identification of patients in need of palliative care in slovenian general practice

Klok

Engels

Veldhoven

et al. 2018

Slovenian Journal of Public Health

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BackgroundTo help general practitioners (GPs) in early identification of patients with palliative care (PC) needs, this pilot study aimed to determine the potential of the combined original surprise question (SQ1) (‘Would I be surprised if this patient died within the next 12 months?’) and the second surprise question (SQ2) (‘Would I be surprised if this patient was still alive after 12 months?’). We hypothesized that answering these SQs would trigger them to make a multidimensional care plan.Methods26 Slovenian GPs, randomized into 4 groups, were invited to write a care plan for each of the four patients described in case vignettes (2 oncologic, 1 organ failure and 1 frailty case). GPs in group 1 were only asked to write a care plan for each patient. GPs in group 2 answered SQ1 and GPs in groups 3 and 4 answered SQ1 and SQ2 before writing the care plan. The type and number of PC aspects mentioned in the respective care plans were quantified into a numeric RADboud ANTicipatory (RADIANT) score.ResultsMean RADIANT scores in groups 1-4 were 2.2, 3.6, 2.5 and 3.1, respectively. When comparing the different vignettes, vignette B (terminal oncologic patient) scored best (3.6). Mean RADIANT scores in groups 3 and 4 were slightly higher for GPs who would be surprised compared to GPs who would not be surprised if the patient was still alive in 12 months.ConclusionThe combined SQs were considered helpful in the early identification of patients in need of PC in Slovenian general practice.

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Section: Discussionmentioning

confidence: 99%

Early identification of patients in need of palliative care in slovenian general practice

Klok

Engels

Veldhoven

et al. 2018

Slovenian Journal of Public Health

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“…The majority of the patients die because of chronic ailments; however, students left without proper guidance and knowledge regarding palliative care. Palliative care is the only method that improves the quality of life and provides a solution for numerous problems related to life-threatening illness for the patients and their family members (Fitzpatrick et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of palliative care knowledge among health care students- A pilot study

Sankar

Monisha

Doss

et al. 2020

ijrps

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Palliative care is given much importance in the curriculum of medical and health sciences. Before planning a new design and curriculum development, it is mandatory to test the knowledge and awareness of Occupational therapy students on palliative care. Thus it will help the expert’s panel to enhance the syllabus designing methods appropriate to the student’s knowledge. Without paying much attention to enhance knowledge on palliative care among students might lead to failure in providing quality care. To evaluate the knowledge in palliative care among undergraduate occupational therapy students. The study population included BOT 1ST Year and BOT Final year students and CRI from SRM College OF Occupational therapy, Kattankulathur. After obtaining informed consent signed from the participants, they have been instructed to fill in the questionnaire. The questionnaire has demographic data and 35 questions under nine groups, for which the students were instructed to answer (Yes, No, Don’t know). A detailed instruction was there in the questionnaire to avoid leaving any questions blank. It was found that occupational therapy students were aware of palliative care. Knowledge in palliative care was not precise among occupational therapy students related to healthcare. Hence there is an emerging need to include palliate care in the curriculum for the development of knowledge in palliative care.

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“…Several students, residents and trained doctors reported that they did not receive formal training in PC during their undergraduate and medical residency and do not feel quali ed to attend terminally ill patients [6,7]. In 2013, the Education Group of European Association for Palliative Care de ned ten core competencies in PC [8,9] PC are a part of medical education and it would be appropriate to identify which competencies were acquired and which could be improved during medical undergraduation.…”

Section: Introductionmentioning

confidence: 99%

Validation of the Palliative Competency Tool: An Instrument To Qualify Medical Education (Validation of Palliative Competency Tool)

Guirro

Corradi-Perini

Siqueira

2020

Preprint

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Introduction: It is necessary to determine which competencies in Palliative Care (PC) have been acquired and which ones need to be improved. The aim was to develop and validate an instrument to assess the acquisition of competencies in PC care among medical students denominated Palliative Competency Tool (Pallicomp).Materials and methods: It were consisted of developing statements based on the competencies as described by the European Association for Palliative Care. The content was validated by experts, respecting the Delphi methodology. The instrument was applied to a group of medical students (n=71) enrolled at the final of 8th semester and statically validated.Results: Of the 30 questions developed, 24 were refined and approved by experts. The tool was applied to 71 medical students, only 12.7% had excellent performance and four out of ten competencies were underperformed. The statistical validation consisted of Bartlett's sphericity test, which showed adequate correlation for factor analysis (p <0.001); the Kaiser-Meyer-Olkin test for sample adequacy (0.7), and Conbach's alpha coefficient for the internal consistency (α = 0.7).Conclusions: Can be concluded that it was possible to construct and validate Palliative Competency Tool (PalliComp), an instrument of qualification of competencies acquisition of PC.

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Palliative Care in Undergraduate Medical Education—How Far Have We Come?

Abstract: There is significant progress in palliative care education within medical schools. Ongoing challenges relate to correlating our current practice in medical education to professional recommendations and the expressed needs of junior doctors to practice competent end-of-life care.

Cited by 74 publications

References 113 publications

Early identification of patients in need of palliative care in slovenian general practice

Early identification of patients in need of palliative care in slovenian general practice

Evaluation of palliative care knowledge among health care students- A pilot study

Validation of the Palliative Competency Tool: An Instrument To Qualify Medical Education (Validation of Palliative Competency Tool)

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